WO2015080293A1 - Système de caméra de surveillance de l'intérieur d'un corps, accessoire pour tube de support de système de caméra de surveillance de l'intérieur d'un corps, outil de fixation pour système de caméra de surveillance de l'intérieur d'un corps, et procédé d'installation de système de caméra de surveillance de l'intérieur d'un corps - Google Patents

Système de caméra de surveillance de l'intérieur d'un corps, accessoire pour tube de support de système de caméra de surveillance de l'intérieur d'un corps, outil de fixation pour système de caméra de surveillance de l'intérieur d'un corps, et procédé d'installation de système de caméra de surveillance de l'intérieur d'un corps Download PDF

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Publication number
WO2015080293A1
WO2015080293A1 PCT/JP2014/081790 JP2014081790W WO2015080293A1 WO 2015080293 A1 WO2015080293 A1 WO 2015080293A1 JP 2014081790 W JP2014081790 W JP 2014081790W WO 2015080293 A1 WO2015080293 A1 WO 2015080293A1
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WIPO (PCT)
Prior art keywords
support tube
camera
cable
cannula
camera support
Prior art date
Application number
PCT/JP2014/081790
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English (en)
Japanese (ja)
Inventor
圭 浦川
利久 後藤
次久 井上
希匠 高松
仁志 青木
Original Assignee
シャープ株式会社
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Publication date
Application filed by シャープ株式会社 filed Critical シャープ株式会社
Priority to US15/031,816 priority Critical patent/US9981112B2/en
Priority to JP2015551037A priority patent/JP5985764B2/ja
Publication of WO2015080293A1 publication Critical patent/WO2015080293A1/fr
Priority to US15/955,728 priority patent/US20180256854A1/en

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    • A61B1/00147—Holding or positioning arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B1/00002—Operational features of endoscopes
    • A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00006—Operational features of endoscopes characterised by electronic signal processing of control signals
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    • A61B1/00002—Operational features of endoscopes
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    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
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    • A—HUMAN NECESSITIES
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Definitions

  • the present invention relates to an in-vivo monitoring camera system including an imaging unit that can be introduced into the body, a support tube accessory for the in-vivo monitoring camera system, a fixing tool for the in-vivo monitoring camera system, and a method for installing the in-vivo monitoring camera system.
  • Endoscopic surgery is a minimally invasive surgery that performs examinations and therapeutic procedures without opening the patient.
  • a treatment tool such as forceps and an endoscope are separately introduced into a patient's body cavity, and the operator observes an image of the distal end of the treatment tool inserted into the body cavity with an endoscope. It is captured in the field of view, and the treatment work is performed while observing the treatment state of the affected area with the treatment tool with an endoscope.
  • a treatment tool and an endoscope are introduced into a body cavity through a tube punctured on a body wall (for example, an abdominal wall) in a patient's abdomen or the like. This cylinder is a tubular member called a so-called trocar.
  • the surgeon enlarges the image by bringing the endoscope closer to the organ and performs incision or suture of the organ, but at this time, the visual field of the surgeon becomes very narrow. For this reason, there is a demand for an apparatus that can widely grasp the state outside the work area (for example, the movement of the treatment tool outside the work area, the bleeding state, the residual state of residues such as gauze).
  • Patent Document 1 discloses a device in which a connector electrode having a needle shape is directly inserted into an abdominal wall and the connector electrode and a camera are joined in the body.
  • Japanese Patent No. 4472727 (issued June 2, 2010) Japanese Patent No. 4599474 (issued on December 15, 2010)
  • Patent Document 1 since the needle-shaped connector electrode is directly inserted into the abdominal wall and the connector electrode and the camera are joined in the body, foreign matter may be mixed in the joint between the connector electrode and the camera, resulting in poor electrical connection. There is.
  • Patent Document 2 the communication cable is pulled out and fixed to the outside of the body, but due to the characteristics of the communication cable, it is difficult to obtain a bonding strength between the communication cable and the camera unit, and it is difficult to change the direction of the camera unit from outside the body. It is also difficult to fix in a state where
  • the present invention has been made in view of the above problems, and an object of the present invention is to propose a highly reliable and easy-to-use internal surveillance camera system and a method for installing the internal surveillance camera system.
  • an in-vivo surveillance camera system includes a support tube having one end portion introduced into the body, and a joint portion joined to the support tube.
  • An imaging unit joined to the support tube in the body, a cable connected to the imaging unit and drawn out of the body through the support tube, a control system outside the body, connected to the cable, and including at least a display device;
  • the support tube is set directly or indirectly with respect to the body surface while maintaining the length of the support tube in the body, the rotation direction of the support tube, and the inclination of the support tube with respect to the body surface set by the operator.
  • a fixing tool for fixing is provided directly or indirectly with respect to the body surface while maintaining the length of the support tube in the body, the rotation direction of the support tube, and the inclination of the support tube with respect to the body surface set by the operator.
  • an in-vivo surveillance camera system installation method includes a cable connected to an external control system including at least a display device, and an imaging unit connected to the cable.
  • the imaging unit can be joined to the support tube in the body while the cable is passed through the support tube. Therefore, the supporting force of the imaging unit is enhanced, connection failure between the imaging unit and the cable hardly occurs, and the reliability is high.
  • the surgeon can change the visual field direction of the imaging unit, the rotation direction of the visual field, and the imaging zoom (subject distance) in the body through the support tube.
  • the support tube is directly or indirectly fixed to the body surface while maintaining the length of the support tube in the body, the direction of rotation of the support tube, and the inclination of the support tube relative to the body surface set by the operator. This eliminates the need for the surgeon to support the support tube.
  • FIG. (A) is sectional drawing which shows typically schematic structure of the principal part of the imaging device which concerns on Embodiment 1
  • (b) is a top view of the imaging device shown to (a).
  • (A) is a perspective view which shows an example of the camera support tube which concerns on Embodiment 1
  • (b) is each of the camera support tube shown to (a)
  • FIG. 6C is a cross-sectional view showing a joined state of the camera support tube and the support tube joint portion shown in FIG.
  • FIG. 1 is a cross-sectional view showing a schematic configuration of the cannula
  • (b) is a camera support tube shown in (a) to (c) of FIG. 3, and is shown in (b) and (c) of FIG. It is sectional drawing which shows the state inserted in the cannula
  • (c) is sectional drawing which shows the joining state of the camera support tube inserted in the cannula
  • FIG. (A)-(h) is the schematic diagram which shows the installation method of the imaging device in the in-body monitoring camera system which concerns on Embodiment 1 in order of a process.
  • (A) * (b) is a perspective view which shows the process shown to (e) of FIG.
  • (c) is the magnitude
  • FIG. (A) * (b) is sectional drawing which shows the modification of the camera support tube and support tube junction which concern on Embodiment 1, respectively.
  • (A) is sectional drawing which shows schematic structure of the camera support tube which concerns on the modification of Embodiment 1 together with the stopper provided in this camera support tube, (b) is a modification of Embodiment 1.
  • FIG. 1 It is sectional drawing which shows schematic structure of the cannula which concerns
  • (c) is sectional drawing which shows the joining state of the camera support tube shown to (a) inserted in the cannula shown to (b), and an imaging device.
  • FIG. It is a perspective view which shows another example of schematic structure of the principal part of the in-vivo monitoring camera system which concerns on Embodiment 2.
  • FIG. It is a perspective view which shows another example of schematic structure of the principal part of the in-vivo monitoring camera system which concerns on Embodiment 2.
  • FIG. 1 shows schematic structure of the principal part of the in-vivo monitoring camera system which concerns on Embodiment 2.
  • FIG. (A) is a figure showing side by side a cross-sectional view and a top view of a camera support tube when a cable fastener is provided at an outer end of the camera support tube according to Embodiment 4, and (b) is a camera.
  • FIG. 6D is a cross-sectional view showing a state where the camera support tube according to the fifth embodiment is punctured into the body wall.
  • FIG. (A)-(h) is the schematic diagram which shows the installation method of the imaging device in the in-body monitoring camera system which concerns on Embodiment 5 in order of a process.
  • (A)-(e) is a schematic diagram which shows the structure of the air plug which concerns on Embodiment 6.
  • FIG. (A)-(e) is a schematic diagram which shows the structure of the air stopper (with a support pipe holder function) which concerns on Embodiment 6.
  • FIG. (A)-(d) is a schematic diagram which shows the structure of the air stopper (with a cable holder function) which concerns on Embodiment 6.
  • FIG. (A)-(e) is a block diagram which shows the modification of the air stopper of FIG.
  • FIG. (A)-(d) is a block diagram which shows the structure of the air stopper (with a support tube holder and a cable holder function) which concerns on Embodiment 6.
  • FIG. (A)-(c) is a block diagram which shows the modification of the air stopper of FIG.
  • FIGS. 1 to 23 An embodiment of the present invention will be described with reference to FIGS. 1 to 23 as follows.
  • members having the same functions as those shown in each embodiment are given the same reference numerals, and the explanation thereof is omitted as appropriate.
  • shape of the configuration described in each drawing and the dimensions such as length, size, and width do not reflect the actual shape and dimensions, but are appropriately changed for the sake of clarity and simplification of the drawings. is doing.
  • FIG. 1 is a schematic diagram showing a schematic configuration of an in-vivo monitoring camera system 1 according to the present embodiment.
  • an in-body monitoring camera system 1 includes a camera unit 11 (imaging unit), a camera-side cable 12 having one end connected to the camera unit 11, and a camera support tube 13 (support tube). ), A control system 3 including a camera unit control device 17 and a display 18 (display device), a cannula 31 (cannula, holding tube), a string-like member 38 (fixing tool), and one end of the camera unit control device 17 And a device-side cable 16 connected to the.
  • the camera unit 11 and the control system 3 are fitted by fitting the camera side cable connector 12 a provided at the other end of the camera side cable 12 and the device side cable connector 16 a provided at the other end of the device side cable 16. Are electrically connected.
  • the camera side cable connector 12a may be abbreviated as a connector 12a
  • the device side cable connector 16a may be abbreviated as a connector 16a.
  • FIG. 11 is a cross-sectional view schematically showing a schematic configuration of a main part of the camera unit 11 according to the present embodiment
  • FIG. 2B is a camera unit shown in FIG. 11 is a top view of FIG.
  • the imaging device is configured to include a camera unit 11 (imaging unit) that performs in-vivo imaging and a camera-side cable 12 (cable) connected to the camera unit 11.
  • the camera unit 11 includes a camera housing 21, a circuit board 19, an imaging unit 24, a control circuit 28, a lighting device 27, and a support unit 22, as shown in FIGS.
  • the circuit board 19, the imaging unit 24, the control circuit 28, and the illumination device 27 are provided in the camera housing 21.
  • the support portion 22 is provided outside the camera housing 21.
  • the imaging unit 24 includes a lens 26 that is an imaging lens and a solid-state imaging device 25.
  • the solid-state imaging device 25 is arranged so that the optical axis of the lens 26 and the axis are coincident.
  • a CCD Charge-Coupled Device
  • CMOS Complementary Metal-Oxide Semiconductor
  • the illumination device 27 illuminates the inside of the body, thereby clarifying the image taken by the camera unit 11.
  • the illuminating device 27 is preferably small, and for example, an LED (Light Emitting Diode) can be suitably used. Note that only one illumination device 27 may be provided in the camera unit 11, or a plurality of illumination devices 27 may be provided as shown in FIG.
  • the solid-state imaging device 25, the illumination device 27, and the control circuit 28 are connected to the circuit board 19.
  • the control circuit 28 is electrically connected to the imaging unit 24 and the illumination device 27 via the circuit board 19.
  • one end of the camera side cable 12 is connected to the circuit board 19, and the circuit board 19 and the control system 3 in the control system 3 are connected via the camera side cable 12 and the connection part 4 (see FIG. 1). Signals are input / output from / to the camera unit control device 17 (see FIG. 1).
  • control circuit 28 controls the drive of the imaging unit 24 and the illumination device 27 based on the control signal input from the camera unit control device 17 via the camera side cable 12 and the circuit board 19.
  • the transmission speed can be increased, and signals can be stably transmitted and received, so that a high-resolution image can be obtained.
  • communication can be performed with lower power than in the wireless system, and the camera unit 11 can be reduced in size by supplying power from the outside. Accordingly, the downsizing can reduce the damage when the camera unit 11 is introduced into the body, and thus has a special effect of improving the low invasiveness.
  • the camera housing 21 has a concave support tube joint portion 14 (joint portion) on the upper surface thereof.
  • the support pipe joint portion 14 has a circular opening shape (hole structure) when viewed from above, and as shown in FIG. Is provided with a locking female screw 23.
  • the support portion 22 is provided so as to protrude outward from each of opposite side surfaces of the camera housing 21.
  • the support part 22 is used as a grip part in the camera unit 11.
  • the camera unit 11 is introduced into the body through, for example, a trocar 32 (tubular member, see FIG. 1).
  • the support portion 22 is for supporting the camera unit 11.
  • the support portion 22 is gripped when the camera unit 11 is introduced into the body from the trocar 32 using forceps, or when the camera unit 11 and the camera support tube 13 are joined, the upper surface of the camera unit 11 (the support tube joint portion 14 is The camera unit 11 can be supported by being gripped so that the provided surface) faces the end of the camera support tube 13.
  • the camera housing 21 of the camera unit 11 is made of a transparent material in a portion where the lens 26 and the illumination device 27 are arranged, but other regions (including the support portion 22) are easily noticeable in the body. It is desirable to use a blue or green material. In this way, by making the body color, which is red or yellow, blue or green, which are in a complementary color relationship, it can be easily seen during installation or collection work in the body, which will be described later. Therefore, making the camera unit 11 blue or green has a special effect that the installation work of the camera unit 11 can be shortened and the safety is also increased.
  • a phosphorescent material or reflective material that is easy to visually recognize may be used. This is particularly effective because it can be immediately found when it is behind an organ that is difficult to visually recognize or at the end of the field of view where illumination light is difficult to reach.
  • the camera side cable 12 is a communication cable on the camera side
  • the device side cable 16 is a communication cable on the camera unit control device side.
  • Video captured by the camera unit 11 is transmitted as a video signal to the camera unit control device 17 via the camera side cable 12 and the device side cable 16, or a control signal from the camera unit control device 17 is transmitted to the device side cable 16. And transmitted to the camera unit 11 via the camera side cable 12.
  • One end of the camera-side cable 12 is connected to the circuit board 19 and led out of the camera unit 11 so as to pass through the inside of the support tube joint 14.
  • the connecting portion between the circuit board 19 and the camera side cable 12 is sealed with a resin or the like (not shown).
  • the camera-side cable 12 is bonded and fixed to the support tube joint 14 at a portion inside the support tube joint 14 where the camera-side cable 12 is drawn (the bottom of the concave support tube joint 14).
  • sealing fixing with an adhesive or an O-ring (O-ring) may be mentioned. It is possible to prevent water and foreign matter from entering the camera unit 11 from the bonded and fixed portion.
  • the camera-side cable 12 is introduced into the body cavity through a tubular member such as a trocar 32 (see FIG. 1) while being connected to the camera unit 11, or is connected to the camera unit via the support tube joint 14. 11 is pulled out of the body through a camera support tube 13 (see FIG. 1), which will be described later.
  • the camera side cable 12 is formed of a flexible material having flexibility.
  • the camera casing 21 is made of a blue or green material that is easily noticeable in the body.
  • the coating on the surface of the camera-side cable 12 is made of a blue or green material that is easily noticeable in the body.
  • the camera side cable connector 12a is also made of a similarly colored material. In this way, by making the body color, which is red or yellow, blue or green, which are in a complementary color relationship, it can be easily seen during installation or collection work in the body, which will be described later. For example, even when the camera unit 11 is accidentally dropped and hidden behind the organ, the camera-side cable 12 is longer than the camera unit 11 and is therefore often visible so that it can be easily found. .
  • setting the camera side cable 12 to blue or green has a special effect that the installation work of the camera unit 11 can be shortened and the safety is improved.
  • a color corresponding to visible light having a wavelength of 420 nm to 570 nm (particularly preferably 450 to 530 nm) (a color that can be easily seen in the body) can be used.
  • a phosphorescent material or reflective material that is easy to visually recognize may be used. This is particularly effective because it can be immediately found when it is behind an organ that is difficult to visually recognize or at the end of the field of view where illumination light is difficult to reach.
  • the pin portion of the male (convex) camera-side cable connector 12a is inserted into a female (concave) device-side cable connector 16a, that is, the connector 12a of the camera-side cable 12 and the device-side cable 16
  • the camera side cable 12 and the device side cable 16 are connected by fitting the connector 16a.
  • the male type and the female type may be reversed, and a configuration in which a female type camera side cable connector and a male type device side cable connector are fitted may be used.
  • the female (concave) camera-side cable connector has a pin portion that is not exposed to the outside as in the male type, so that even if it is accidentally touched inside the body, it is difficult for dirt to adhere to the terminal portion. Therefore, it is desirable to use a female (concave) connector for the camera side cable.
  • the outer diameter of the camera side cable connector 12a is smaller than the outer diameter of the camera support tube 13. That is, if the outer diameter of the camera side cable connector 12a is reduced, the outer diameter of the camera support tube 13 can be reduced. Thereby, there exists a special effect that minimally invasive property improves. That is, it is desirable to make the outer diameter of the camera side cable connector 12a as small as possible. For example, as shown in FIG.
  • the outer diameter of the camera-side cable connector 12a is preferably equal to or smaller than the outer diameter of the device-side cable connector 16a, and the outer diameter (cable diameter) of the camera-side cable 12 is the device-side cable. It is desirable to make it smaller than 16 outer diameters (cable diameters).
  • the camera support tube can be provided with a slit extending from one end to the other end.
  • the camera-side cable 12 is passed from the side surface of the camera support tube into the camera support tube through the slit. This makes it easier to pass the camera side cable (including the connector) through the camera support tube.
  • the slits are provided, it is not necessary to pass the camera side cable connector 12a through the camera support tube 13, so that the inner diameter of the camera support tube 13 can be made smaller than the outer dimensions of the camera side cable connector 12a. it can. Therefore, if the thickness of the camera support tube 13 is the same, the outer diameter of the camera support tube 13 can be further reduced. Thereby, there exists a special effect that minimally invasive property improves further.
  • the cooling effect of the camera support tube is also exhibited, for example, the air permeability in the camera support tube is increased by the slit.
  • the camera side cable 12 (including the camera side cable connector 12a) is temporarily returned to the body when the camera unit 11 is recovered, it contacts the camera side cable 12 of the device side cable 16.
  • the device-side cable connector 16a and the portion of a predetermined length from this need to be kept clean.
  • the camera support tube 13 is a support tube that supports the camera unit 11 by being joined to the camera unit 11 in the body in a state where the camera side cable 12 is passed through and pulled out of the body. is there.
  • the camera support tube 13 is formed of a hard material.
  • the material of the camera support tube 13 should be rigid enough to obtain a bonding strength capable of stably supporting the camera unit 11 and to fix the camera unit 11 in a desired position and orientation. Examples thereof include, but are not limited to, stainless steel, ceramics (fine ceramics), reinforced plastics, and the like.
  • the camera support tube 13 has one end 13a (first end) introduced into the body through a body wall 41 such as an abdominal wall. At this time, one end 13a of the camera support tube 13 may be directly introduced into the body, or a cannula 31 inserted into the body wall 41 as shown in FIG. One end 13a of the camera support tube 13 may be introduced into the body by inserting the camera support tube 13 into the body 31.
  • the camera support tube 13 When the cannula 31 is used, the camera support tube 13 has the one end 13a and the other end 13b (second end) from the cannula 31 in a state where the camera support tube 13 is inserted into the cannula 31.
  • the camera support tube 13 having an axial length longer than that of the cannula 31 is used so as to be exposed. Further, the camera support tube 13 is inserted between the outer wall of the camera support tube 13 and the inner wall of the cannula 31 so that the camera support tube 13 can be rotated about the axis in the cannula 31.
  • the camera support tube 13 having a size (thickness) having a gap is used.
  • the end portion 13 a introduced into the body is joined to the camera unit 11 at the support tube joint portion 14.
  • FIG. 3A is a perspective view illustrating an example of the camera support tube 13 according to the present embodiment
  • FIG. 3B is a diagram illustrating the camera support tube 13 illustrated in FIG. It is sectional drawing which shows each cross section of the support pipe junction part 14 shown to (a), (c) of FIG. 3 is joining of the camera support pipe 13 and the support pipe junction part 14 shown to (b) of FIG. It is sectional drawing which shows a state.
  • illustration of the camera side cable 12 is abbreviate
  • the camera support tube 13 preferably has a cylindrical tube structure. Since the camera support tube 13 has a cylindrical shape, it can be easily combined with a general cannula that is also a cylindrical tube.
  • the one end portion 13a (inside the body) of the camera support tube 13 and the camera unit 11 in the body are joined by a support tube joint portion 14 (joint portion).
  • the camera support tube 13 is screwed into a locking female screw 23 provided in the support tube joint 14 at an end portion 13a on the side introduced into the body (see FIG. 3). It has a locking male screw 123 for screw fitting.
  • the camera unit 11 and the camera support tube 13 can be joined with high mechanical strength by screwing the locking female screw 23 of the camera support tube 13 with the locking female screw 23 of the support tube joining portion 14. .
  • a slit 223 is provided on the side surface of the camera support tube 13 as shown in FIG.
  • the advantages when the slit 223 is provided on the side surface of the camera support tube 13 will be described later.
  • Control system 3 As shown in FIG. 1, the control system 3 includes a camera unit control device 17 and a display 18 (display device).
  • the camera unit control device 17 displays the video transmitted from the camera unit 11 on the display 18. Further, the camera unit control device 17 transmits a control signal to the camera unit 11.
  • the camera unit control apparatus 17 and the display 18 may be integrated and may be comprised separately.
  • FIG. 4A is a cross-sectional view showing a schematic configuration of the cannula 31 used in this embodiment, and FIG. 4B shows the camera support tube 13 shown in FIGS. 3A to 3C.
  • FIG. 4 is a cross-sectional view showing a state where the camera is inserted into the cannula 31 shown in FIGS. 3B and 3C, and FIG. 4C shows the camera support tube 13 inserted into the cannula 31 and the camera shown in FIG. 2.
  • FIG. 3 is a cross-sectional view showing a joined state with a unit 11
  • the cannula 31 used in the present embodiment includes a head 131 and a leg 132, and the funnel-type tube having an inner diameter of the head 131 larger than the inner diameter of the leg 132. (Tubular device).
  • the end portion 31b (outside the body) on the head 131 side of the cannula 31 is thicker than the end portion 31a on the leg portion 132 side (inside the body) inserted into the body, and the cannula 31 is inserted into the body wall 41.
  • the head 131 functions as a stopper.
  • the cannula 31 can be fixed to the body wall 41 without the camera support tube 13 falling out into the body.
  • the cannula 31 has a valve 37 (support tube holder), and the valve 37 has a direction from the thick end 31b (outside the body) to the narrow end 31a (inside the body) at the center. It has a valve structure that can be expanded when an external force is applied.
  • the cannula 31 preferably has a small diameter in order to achieve minimal invasiveness. Specifically, the cannula 31 preferably has a diameter of 3 mm or less.
  • the camera support tube 13 When joining the camera unit 11 to the camera support tube 13 in the body, first, as shown in FIG. 4B, the camera support tube 13 is inserted into the camera support tube 13 with the camera side cable 12 being passed through. One end 13a is pressed against the thicker end 31b of the cannula 31, and the camera support tube 13 is inserted into the cannula 31 until the one end 13a of the camera support tube 13 is exposed from the cannula 31. Insert in. At this time, the valve 37 is pushed and expanded by the camera support tube 13, and the camera support tube 13 is fixed to the cannula 31 by urging the camera support tube 13 by its restoring property. The other end 13 b (outside the body) of the camera support tube 13 is also exposed from the cannula 31.
  • the locking male screw 123 of the body inner end 13a of the camera support tube 13 is connected to the locking female screw 23 of the support tube joining portion 14.
  • the locking male screw 123 fits into the locking female screw 23 and the camera unit 11 and the camera support tube 13 are joined with high mechanical strength.
  • the locking male screw 123 and the locking female screw 23 are not limited to the screw shape, and may be any shape as long as they can be fitted to each other. Instead of the locking female screw 23, a press-fitting structure using an elastic material or the like is used. You can also.
  • the camera support tube 13 and the support tube joint 14 are inserted and fitted using a locking claw or the like instead of a screw shape, the camera support tube 13 and the support tube joint 14 are fitted.
  • the strength to be set is smaller than the adhesive strength of the adhesive fixing portion that adhesively fixes the camera side cable 12 and the camera unit 11. This is because, when the camera support tube 13 is inserted into the support tube joint portion 14 of the camera unit 11, it is necessary to hold the cable, pull it to support it, and insert it while using the cable as a guide. If the fitting strength with the tube joint portion 14 is larger than the adhesive strength of the adhesive fixing portion, the adhesive fixing portion may be damaged, or the camera unit may be pulled outward to damage the patient's body wall. This is because.
  • the strength at which the camera support tube 13 and the support tube joint 14 are fitted is desirably 30 N (Newton) or less, which is smaller than the adhesive strength of the adhesive fixing portion.
  • the camera support tube 13 can be applied by applying an external force to the camera support tube 13 such as when the operator presses the cannula 31 with one hand and applies a force to the camera support tube 13 with the other hand.
  • the cannula 31 is fixed to be movable.
  • the cannula 31 can move the camera support tube 13 in the vertical direction or the rotation direction by applying an external force to the camera support tube 13 in the vertical direction (axial direction) or the rotation direction (circumferential direction).
  • the camera support tube 13 can be held (fixed) at an arbitrary position in the height direction and the rotation direction of the camera support tube 13.
  • the string-like member 38 fixes the camera support tube 13 to the body surface 45 by fixing the camera support tube 13 to a fixed object (fixed body) fixed outside the body. It is a fixture that is fixed in a state where the angle is maintained.
  • the camera support tube 13 can be held in a state of being fixed to a fixed object fixed outside the body, and has a strength capable of maintaining the angle at the time of fixing. It is not particularly limited.
  • a trocar 32 (for example, the trocar 32 adjacent to the camera support tube 13) is used as a fixed object fixed outside the body.
  • the trocar 32 is a cylinder (tubular member) that is generally punctured into the abdomen of a patient in order to insert forceps, an endoscope, or the like into a body cavity.
  • a general trocar can be used as the trocar 32.
  • the camera support tube 13 fixed to the cannula 31 is fixed to the trocar 32 with the string-like member 38, so that the camera support tube 13 is indirectly fixed to the body surface 45.
  • the string-like member 38 is a part of the string-like member 38 attached to the camera support pipe 13 outside the body so that the camera support pipe 13 can be held at a desired angle. If it can be attached (fixed) so as not to bend, it is not particularly limited.
  • the fixed object may be, for example, a fixing device installed in an operating table or operating room.
  • FIG. 5 are schematic diagrams showing the installation method of the imaging device 2 in the in-body monitoring camera system 1 according to this embodiment in the order of steps.
  • 6 (a) and 6 (b) are perspective views showing in detail the process shown in FIG. 5 (e), and FIG. 6 (c) shows the size of the camera side cable connector 12a and the camera support. It is a top view which shows the relationship with the magnitude
  • FIG. 7 is a schematic diagram illustrating a usage state of the in-vivo monitoring camera system 1 according to the present embodiment.
  • trocars 32a to 32c are respectively inserted.
  • the port 41d is opened at a position on the body wall 41 where the entire organ including the affected part can be looked over, and the cannula 31 is inserted.
  • the cannula 31 is inserted into the body wall 41 by puncturing the obturator into the port while a needle-shaped obturator (not shown) is passed through the cannula 31.
  • the operator After at least one of the trocars 32a to 32c and the cannula 31 is inserted into the body wall 41, the operator sends gas into the body through at least one trocar of the trocars 32a to 32c, and expands the body cavity in advance. Reserve a space to insert the instrument.
  • the operator inserts the endoscope 34 into the body cavity through the trocar 32c, and observes the inside of the body using the endoscope 34, while supporting the support portion with the forceps 33a. 22 is grasped and the imaging device 2 is inserted into the body cavity through the trocar 32b.
  • the operator operates the forceps 33a to move the imaging device 2 to the vicinity of the cannula 31, and inserts the forceps 33b into the body cavity through the cannula 31.
  • the operator pulls out the forceps 33b from the cannula 31 with the forceps 33b sandwiching the camera side cable 12, thereby leading the camera side cable 12 out of the body.
  • the support portion 22 in the camera unit 11 is held by the forceps 33a.
  • the operator inserts the forceps 33c into the body cavity through the trocar 32a, and the support tube joint 14 of the camera unit 11 and the opening of the cannula 31 are parallel and close to each other.
  • the camera-side cable 12 led out of the body is passed through the camera support tube 13 and the camera support tube 13 is inserted into the cannula 31.
  • the camera support tube 13 provided with the slit 223 on the side surface is used as the camera support tube 13
  • the camera side cable 12 led out of the body is passed through the slit 223 on the side surface of the camera support tube 13 to the inside thereof. Then, the camera support tube 13 is inserted into the cannula 31.
  • the camera support tube 13 is inserted into the cannula 31 so that the slit 223 follows the camera side cable 12. That is, as shown in FIG. 6B, the camera side cable 12 is pulled upward while a part of the camera side cable 12 is inserted below the slit 223 of the camera support tube 13, and at the same time, The camera support tube 13 is inserted into the cannula 31 using as a guide.
  • the slit 223 is provided on the side surface of the camera support tube 13, when the camera side cable 12 is passed through the camera support tube 13, the camera side cable 12 is inserted into the camera support tube 13 from the slit 223. Can be inserted into.
  • the camera-side cable 12 can be easily passed through the camera support tube 13 and the operation of inserting the camera support tube 13 into the body is greatly simplified.
  • the cannula 31 When the cannula 31 is used to introduce the camera support tube 13 into the body, and the slit 223 is not provided, the camera side cable 12 drawn from the cannula 31 is passed through the camera support tube 13. In addition, at least the total length of the cannula 31 and the camera support tube 13 is required.
  • the length of the camera side cable 12 may be longer than the length of the cannula 31.
  • the slit 223 is provided in the camera support tube 13 as described above, the limitation on the length of the camera side cable 12 can be reduced.
  • the outer dimensions of the camera side cable connector 12a connected to the camera side cable 12 can be made larger than the inner diameter of the camera support tube 13 as shown in FIG. Can also be increased. For this reason, it becomes easy to connect the camera side cable connector 12a to the apparatus side cable 16, and work efficiency can be improved. Note that the outer dimension of the camera side cable connector 12 a is smaller than the inner diameter of the cannula 31.
  • the operator uses the camera-side cable 12 as a guide and uses the camera-side cable 12 as an end 13 a inside the body of the camera support tube 13 exposed from the cannula 31. Insert into the support tube joint 14 and screw it together. Thus, the camera support tube 13 and the camera unit 11 are joined to each other by the support tube joining portion 14 in the body while the camera side cable 12 is passed through the camera support tube 13.
  • the camera support tube 13 and the support tube joint 14 are inserted and fitted using a locking claw instead of a screw shape, the camera support tube 13 is inserted into the support tube joint 14 of the camera unit 11.
  • the force required to fit the camera support tube 13 and the support tube joint 14 is larger than the adhesive strength (for example, 30 N or more) of the adhesive fixing portion of the camera side cable 12 to the camera unit 11. Since (for example, 3N to 6N) is sufficiently small, the camera support tube 13 can be safely inserted and fitted by pulling while using the cable as a guide.
  • the operator pulls up the camera support tube 13 so that the inside of the body cavity can be imaged as wide as possible, and the camera unit 11 is brought into contact with the inner end 13 a of the cannula 31.
  • the camera support tube 13 is strongly tightened by the valve 37 of the cannula 31 (see FIGS. 4A to 4C), the camera support tube 13 and the camera unit 11 maintain this state.
  • the camera support tube 13 is operated to determine the height, direction, and angle of the camera unit 11 in the body cavity and fixed with a fixture such as a string-like member 38 as shown in FIG. To do.
  • the height of the camera unit 11 in the body cavity is gradually increased from the state in which the camera unit 11 is brought into contact with the inner end portion 13a of the cannula 31 as shown in FIG. Decrease the position or make fine adjustments in the vertical direction as necessary.
  • the orientation of the camera unit 11 in the body cavity is determined by rotating the camera support tube 13 in the circumferential direction.
  • the camera support tube 13 can be fixed to the cannula 31 at an arbitrary position by the urging force of the valve 37, and is indirectly fixed to the body surface 45 through the cannula 31.
  • the orientation of the camera unit 11 is determined by tilting the camera support tube 13 using the elasticity of the body wall 41.
  • the camera side cable 12 and the device side cable 16 are joined using the camera side cable connector 12a as shown in FIG.
  • a local image of the treatment part is displayed on the display 118 by the endoscope control device 117 connected to the endoscope 34, and the entire image inside the organ 42 captured by the camera unit 11 is The image is displayed on the display 18 by the camera unit control device 17.
  • the surgeon performs an operation with the forceps 33a and the forceps 33c while magnifying and observing the work area (local area) on the display 118, while the display 18 is in a state outside the work area (movement of forceps and the like outside the work area) Bleeding residue, gauze residue, etc.).
  • the surgeon grasps the camera support tube 13 with the locking male screw 123 and the locking female screw 23 in a state where the support 22 of the camera unit 11 in the body is held by the forceps 33a and the forceps 33c.
  • the camera support tube 13 is pulled out from the support tube joint 14 of the camera unit 11 by rotating in the reverse direction (that is, the direction in which the screw is loosened).
  • the fitting strength between the camera support tube 13 and the support tube joining portion 14 is set to be smaller than the adhesive strength of the adhesive fixing portion that adheres and fixes the camera side cable 12 and the camera unit 11. If the fitting strength between the camera support tube 13 and the support tube joint 14 is greater than the adhesive strength of the adhesive fixing portion, a large force must be applied when the camera support tube 13 is removed from the camera unit 11. This is because there is a possibility that the adhesive fixing portion is broken or the camera unit is pulled in the direction of the outside of the body, thereby damaging the patient's body wall.
  • the camera support tube 13 can be removed without applying excessive force, and the feeling that the camera support tube 13 has come off is at hand. Therefore, there is a special effect that it can be safely separated without continuously applying force.
  • the operator pulls out the camera support tube 13 from the cannula 31 and separates the camera support tube 13 and the camera side cable 12, and then removes the camera unit 11 and the camera side cable 12 from the trocar 32a or the trocar 32b. To derive.
  • the camera unit 11 and the camera support tube 13 are joined with high mechanical strength, and the support force of the camera unit 11 is higher than the conventional one. Further, since the camera side cable 12 is led out of the body through the inside of the camera support tube 13, after the camera unit 11 and the camera support tube 13 are joined, a load is applied to the camera side cable 12, The side cable 12 is not exposed in the body and does not contact the body wall 41. This increases the reliability of electrical connection between the camera-side cable 12 and the circuit board 19 (waterproofness and antifouling property of the connection portion). For this reason, the highly reliable in-body monitoring camera system 1 can be realized.
  • the operator can change the visual field direction of the camera unit 11 by operating the camera support tube 13. Specifically, the viewing direction of the camera unit 11 joined to the camera support tube 13 can be changed by tilting the camera support tube 13 using the elasticity of the body wall 41.
  • both the cannula 31 and the camera support tube 13 inserted into the cannula 31 are cylindrical tubes, the camera support tube 13 can be easily rotated around the axis. Thereby, the surgeon can change the rotation direction of the visual field of the camera unit 11 joined to the camera support tube 13.
  • the camera support tube 13 is movable in the longitudinal direction (tube extending direction) which is the axial direction thereof. For this reason, the surgeon pushes the camera support tube 13 into the body or pulls it up to the outside of the body, so that the camera unit joined to the camera support tube 13 within the allowable range of the length of the camera support tube 13. 11 imaging zoom (subject distance) can be changed.
  • the camera support tube 13 is fixed to the cannula 31, so that the position and rotation direction of the camera support tube 13 are maintained.
  • the camera support tube 13 can be fixed to a fixed body fixed outside the body, such as the surrounding trocar 32 (for example, the trocar 32a or the trocar 32b) using the string-like member 38. Thereby, the camera support tube 13 can be fixed in a desired state.
  • the surgeon uses the elasticity of the body wall 41 to fix the camera support tube 13 to a fixed body outside the body such as the trocar 32 while the camera support tube 13 is tilted, so that the surgeon can support the camera. Even if the tube 13 is not supported, the tilt of the camera support tube 13 can be maintained.
  • the viewing direction and the rotation direction of the viewing field in the camera unit 11 are arbitrarily set, and the imaging zoom (subject distance) is arbitrarily set within the range allowed by the length of the camera support tube 13. Can be set and fixed at a desired position. For this reason, a user-friendly surveillance camera system can be realized.
  • the method for joining the camera support tube 13 and the camera unit 11 is not limited to this, and any shape may be used as long as the camera support tube 13 and the support tube joint 14 are fitted to each other.
  • FIGS. 8A to 8C are cross-sectional views showing modifications of the camera support tube 13 and the support tube joint 14 according to the present embodiment, respectively.
  • FIGS. 8A and 8B show an example in which a locking hole 323 is provided in the camera support tube 13 and a locking claw 423 is provided in the support tube joining portion 14.
  • FIG. 8C shows an example in which a locking claw 523 is provided in the camera support tube 13 and a locking hole 623 is provided in the support tube joining portion 14.
  • FIG. 8A and 8C are cross-sectional views showing cross sections of the camera support tube 13 and the support tube joint portion 14 in each modification
  • FIG. 8B is a cross-sectional view of FIG. It is sectional drawing which shows the state which inserted the camera support tube 13 shown to (a) in the support tube junction part 14.
  • FIG. 8A and 8C are cross-sectional views showing cross sections of the camera support tube 13 and the support tube joint portion 14 in each modification
  • FIG. 8B is a cross-sectional view of FIG. It is sectional drawing which shows the state which inserted the camera support tube 13 shown to (a) in the support tube junction part 14.
  • the camera support tube 13 As shown in FIGS. 8A and 8B, the camera support tube 13 according to this modification has a tapered shape (tapered shape) at a portion ahead of the locking hole 323. For this reason, if the tip of the camera support tube 13 (inside the body) is not caught by the locking claw 423 of the support tube joint 14 and the camera support tube 13 is pushed in until the tip reaches the back of the support tube joint 14, A stop hole 323 is adapted to fit into the locking claw 423.
  • the camera support tube 13 is illustrated by taking as an example a case where the portion ahead of the locking hole 323 has a tapered shape (tapered shape).
  • the camera support tube 13 is not limited to the above structure. Both ends of the camera support tube 13 may have the same thickness.
  • the locking claws 423 and 523 are made elastic, or the support tube joining portion 14 is made flexible. It is designed to release the engagement between the locking claw 423 and the locking hole 323 and the engagement between the locking claw 523 and the locking hole 623 by applying a force equal to or greater than a threshold value. Preferably it is.
  • the locking claw 423 is retracted from the surface of the opening inner wall of the support tube joint 14 (that is, changes to a state in which it does not protrude) or the locking claw 523 is moved from the surface of the camera support tube 13 by an external force such as magnetism or electric power. It is desirable to be designed to retract.
  • the camera support tube 13 and the support tube joint 14 can be joined by forming the inner wall of the support tube joint 14 with an elastic material such as rubber and press-fitting the camera support tube 13 into the support tube joint 14. .
  • the strength for fitting the tube joint portion 14 is set smaller than the adhesive strength (for example, 30 N or more) of the adhesive fixing portion that adhesively fixes the camera side cable 12 and the camera unit 11. This is because, when the camera support tube 13 is inserted into the support tube joint portion 14 of the camera unit 11, it is necessary to hold the cable, pull it to support it, and insert it while using the cable as a guide. If the fitting strength with the tube joint portion 14 is larger than the adhesive strength of the adhesive fixing portion, the adhesive fixing portion may be damaged, or the camera unit may be pulled outward to damage the patient's body wall. This is because.
  • the strength at which the camera support tube 13 and the support tube joint 14 are fitted is desirably 30 N (Newton) or less, which is smaller than the adhesive strength of the adhesive fixing portion.
  • the side surfaces of the camera support tube 13 and the support tube joint 14 are formed of a material having good thermal conductivity. When it does, the heat dissipation from the camera unit 11 can be improved.
  • FIG. 9A is a cross-sectional view showing a schematic configuration of the camera support tube 13 according to this modification together with a stopper 77 provided on the camera support tube 13, and FIG. 9B is a cannula.
  • 9C is a cross-sectional view showing the schematic configuration of FIG. 9, and FIG. 9C shows the camera support tube 13 shown in FIG. 9A inserted into the cannula 31 shown in FIG. It is sectional drawing which shows the joining state of.
  • FIGS. 9A and 9C an example in which the locking female screw 23 is provided in the camera support tube 13 and the locking female screw 23 is provided in the support tube joining portion 14 is an example. Are shown in the figure.
  • the camera support tube 13 and the support tube joint 14 are not limited to this, and the camera support tube 13 and the support tube shown in FIGS. 8A and 8B or FIG. 8C. Needless to say, the joint 14 may be used.
  • the cannula 31 according to this modification has the same configuration as the cannula 31 shown in FIG. 4A except that the valve 37 is not included therein. is doing.
  • a commercially available general cannula 31 can be used as the cannula 31.
  • the camera support tube 13 is moved in the axial direction (extension direction) of the camera support tube 13.
  • a stopper 77 support tube holder that can be moved along is attached.
  • the stopper 77 is an elastic body such as rubber inserted into the camera support tube 81, and can be moved by an operator's operation. It should be noted that the stopper 77 can be moved by making the stopper 77 and the camera support tube 13 have a screw structure.
  • the stopper 77 By mounting such a stopper 77 on the camera support tube 13, when the camera support tube 13 is inserted into the cannula 31, the stopper 77 comes into contact with the edge (outside of the body) of the cannula 31, and the camera support tube 13 is It is held in the cannula 31. Further, the camera unit 11 and the camera support tube 13 are joined with high mechanical strength by fitting the lock holes 323 of the camera support tube 13 into the lock claws 423 of the camera unit 11. The surgeon moves the stopper 77 up and down to change the position (imaging zoom) of the camera unit 11 in the body, or to rotate the camera support tube 13 to change the orientation of the camera unit 11. Can do.
  • the holding strength of the stopper 77 that holds the camera support tube 13 on the cannula 31 needs to be larger than the fitting strength of the camera support tube 13.
  • the fitting strength of the inserted camera support tube 13 is 3N to 6N
  • the optimum range is preferably 5N to 50N.
  • the in-vivo monitoring camera system 1 includes a cannula 31 (holding tube), a stopper 77, and a string-like member 38 shown in (a) to (c) of FIG. It has.
  • the camera support tube 13 is fixed to the body surface 45 by fixing the camera support tube 13 to a fixed body such as the trocar 32 fixed outside the body by the string member 38. It can be fixed while maintaining the angle.
  • the camera support tube 13 is cut into a cylindrical tube from one opening (inside the body) of the camera support tube 13 in the vertical direction (the axial direction of the camera support tube 13) upward, and 90 from the lower slit. It is good also as a structure which provided the crank-type slit 223 which connected the upper slit cut
  • the camera support tube 13 may be provided with a spiral slit 223 in which the lower slit and the upper slit are connected by a curved slit (or an oblique slit).
  • a part of the camera side cable 12 is connected to the lower part of the camera support tube 13.
  • the camera support tube 13 is rotated about 90 degrees while being passed through the slit, and the camera support tube 13 is inserted into the cannula 31 so that the upper slit is along the camera side cable 12.
  • the camera side cable 12 inserted from the slit 223 does not come off from the camera support tube 13, and it becomes easier for the operator to work and the work is quickened.
  • the present embodiment is not limited to this, and the string-like member 38 is attached to the cannula 31 to which the camera support tube 13 is fixed, and the cannula 31 is fixed to the fixed body, so that the camera support tube is fixed. 13 may be fixed.
  • the string-like member 38 is used as a fixture for fixing the camera support tube 13 inserted into the cannula 31 to the outside of the body has been described as an example.
  • the fixture and the method for fixing the camera support tube 13 are described. However, it is not limited to this.
  • FIGS. 10 to 13 are perspective views showing an example of a schematic configuration of a main part of the in-body monitoring camera system 1 according to the present embodiment.
  • FIGS. 10 to 13 each show an example of the support tube fixing member.
  • the in-vivo monitoring camera system 1 includes a cannula 31 shown in FIGS. 4A to 4C and a fixing device 141 (dedicated device, fixing tool).
  • the camera support tube 13 fixed to the cannula 31 is fixed by using a dedicated fixing device 141 that can be fixed directly to the body surface 45 instead of the string-like member 38 as a fixing tool.
  • the fixing device 141 includes a support base 144 having an adhesive layer (not shown) on one side (contact surface with the body surface 45), and an accessory fixed to the surface of the support base 144 opposite to the adhesive layer.
  • Band 145 band-like string
  • adhere to the round shape of the body surface 45 as a surface member which comprises a contact surface with the body surface 45. FIG. By doing in this way, it can set to the range of the optimal holding strength mentioned later.
  • One end of the band 145 is directly fixed to the support base 144, while the other end is fixed to the support base 144 via the adjuster 146.
  • the fixed length of the band 145 is adjusted from the fixed end 145a of the band 145 directly fixed to the support base 144 to the adjuster 146 that fixes the other end of the band 145, which is a free end, to the support base 144. By doing so, it can be arbitrarily adjusted.
  • the cannula 31 to which the camera support tube 13 is fixed is fixed to the support base 144 by the band 145 in a state where the fixing device 141 is fixed to the body surface 45 by the adhesive layer, so that the camera support tube 13 is attached to the cannula. It fixes to the body surface 45 via 31.
  • the operator operates the camera support tube 13 to easily rotate the camera support tube 13 in the circumferential direction, or push the camera support tube 13 into the body.
  • the direction of rotation of the field of view of the camera unit 11 and the imaging zoom (subject distance) can be changed by pulling up outside the body.
  • the fixing angle (tilt) of the cannula 31 and the camera support tube 13 with respect to the body surface 45 can be changed.
  • the cannula 31 and the camera support tube 13 can be fixed at a desired angle, and the viewing direction of the camera unit 11 can be arbitrarily changed.
  • the camera support tube 13 can be fixed in a desired state.
  • the adjuster 146 is used to adjust the fixed length of the band 145 as shown in FIG. 10, but the method of adjusting the fixed length of the band 145 is not limited to this.
  • a band provided with a hook-and-loop fastener such as Velcro (registered trademark) may be used as the band 145.
  • the cannula 31 is fastened (pressed) with the band 145 to tie the cannula 31 to the support table 144.
  • the camera support tube 13 is attached with the band 145.
  • the camera support tube 13 may be fastened to the support base 144 by tightening (pressing).
  • the fixing length of the band 145 is adjusted, the band 145 is loosened, etc., and the support tube 13 or the support base 144 is moved to adjust the position of the support tube 13, and then again.
  • the support tube 13 may be fixed at a desired position by tightening the support tube 13 with the band 145.
  • the support tube 13 is applied with a certain force or more.
  • the support tube 13 may be fixed so that it can be moved.
  • the case where the cannula 31 shown in FIGS. 4A to 4C is used as the cannula 31 as described above has been described as an example.
  • the camera support tube 13 is tightened with the band 145, since the movement of the camera support tube 13 is limited by the band 145, the camera support tube 13 is not necessarily fixed to the cannula.
  • a common cannula can be used.
  • the cable holding strength of the cable fastener 43 (cable holder) that holds the camera-side cable 12 on the camera support tube 13.
  • the holding strength of all fixing members such as the holding strength of the hook-and-loop fastener and the adhesive strength of the adhesive layer that fixes the support base 144 to the body surface 45 needs to be larger than the fitting strength of the camera support tube 13.
  • the fitting strength of the inserted camera support tube 13 is 3N to 6N
  • a strength higher than this, at least 5N or more is necessary.
  • the optimum range of these holding strengths is preferably 5N to 50N, for example. This optimum range is the same in other examples of the support tube fixing member described later.
  • the side surfaces of the camera support tube 13 and the support tube joint 14 are formed of a material having good thermal conductivity. In this case, the heat dissipation from the camera unit 11 can be improved.
  • the in-vivo monitoring camera system 1 includes a cannula 31 and a fixing device 151 (a dedicated device and a fixing tool) shown in FIGS.
  • the camera support tube 13 fixed to the cannula 31 is fixed by using a dedicated fixing device 151 that can be directly fixed to the body surface 45 instead of the string-like member 38 as a fixing tool.
  • the camera support tube 13 is indirectly fixed to the body surface 45 via the cannula 31.
  • the fixing device 151 includes a support base 152, a clip portion 153 (clip-like member) made of a clamping member having a clip structure, and a support tube provided on the opposite surface side of the body surface 45 of the support base 152. And a mounting portion 154.
  • the fixing device 151 can be directly fixed to the body surface 45 by sandwiching, for example, the skin with a clip portion 153 having a biasing force.
  • the support tube mounting portion 154 grips the cannula 31 with the clamp portion 156, the arm portions 155 and 155 fixed to the support base 152, the clamp portion 156 that is a grip portion that grips the camera support tube 13 directly or indirectly.
  • a screw fastening handle 157 for fixing the clamp part 156 between the arm parts 155 and 155 by screw fastening.
  • the fixing device 151 is fixed to the body surface 45 by the clip portion 153, and the camera support tube 13 is fixed by fixing the cannula 31 to which the camera support tube 13 is fixed to the support base 152 by the clamp portion 156.
  • the body surface 45 is fixed via the cannula 31.
  • the cannula 31 to which the support tube 13 is fixed is attached to the clamp unit 156, and the cannula 31 and the support tube 13 are in a desired state by turning the screw tightening handle 157 and tightening the cannula 31 with the clamp unit 156. Can be fixed to.
  • the operator operates the camera support tube 13 to easily rotate the camera support tube 13 in the circumferential direction, or push the camera support tube 13 into the body.
  • the direction of rotation of the field of view of the camera unit 11 and the imaging zoom (subject distance) can be changed by pulling up outside the body.
  • the viewing direction of the camera unit 11 can be changed. it can.
  • the camera support tube 13 can be fixed in a desired state.
  • the case where the cannula 31 is held by the clamp unit 156 is illustrated as an example, but the camera support tube 13 may be held by the clamp unit 156.
  • the support tube 13 When holding the support tube 13 with the clamp portion 156, or when adjusting the position, orientation, etc. of the support tube 13 once fixed to the clamp portion 156, it is supported by turning the screw tightening handle 157 to loosen the clamp portion 156.
  • the support tube 13 After moving the tube 13 and adjusting the position of the support tube 13, the support tube 13 may be fixed at a desired position by turning the screw tightening handle 157 again and tightening the support tube 13 with the clamp 156.
  • the support tube 13 is fixed to the clamp portion 156 so that the support tube 13 can be moved by applying a certain level of force to the support tube 13 by adjusting the tightening strength of the screw tightening handle 157. May be.
  • the case where the cannula 31 shown in FIGS. 4A to 4C is used as the cannula 31 has been described as an example.
  • the camera support tube 13 is tightened with the clamp 156, the movement of the camera support tube 13 is limited by the clamp 156. Therefore, the camera support tube 13 is not necessarily fixed to the cannula.
  • a common cannula can be used.
  • the clamp portion 156 may be adjusted for tightening by an urging force of a spring or the like instead of the screw tightening handle 157.
  • the support tube mounting portion 154 is provided with an angle adjustment mechanism that adjusts the fixing angle of the clamp portion 156.
  • the inclination of the support tube 13 with respect to the body surface 45 may be adjusted by changing the fixing position of the fixing device 151 by the clip portion 153. .
  • FIG. 11 the case where two clip portions 153 are provided on the side surface of the support table 152 so as to sandwich the support table 152 is illustrated as an example.
  • the method of fixing the support table 152 to the body surface 45 is described below. It is not limited to this.
  • a part of the body for example, an arm, leg, abdomen, etc.
  • the internal monitoring camera system 1 includes a cannula 31 shown in FIGS. 4 (a) to 4 (c) and a fixing device 161 (dedicated device, solid tool).
  • the camera support tube 13 fixed to the cannula 31 is fixed by using a dedicated fixing device 161 that can be fixed directly to the body surface 45 instead of the string-like member 38 as a fixing tool.
  • the camera support tube 13 is indirectly fixed to the body surface 45 via the cannula 31.
  • the fixing device 161 includes a support stand 162 provided with an adhesive layer (not shown) on one side (contact surface with the body surface 45), and a support tube provided on the opposite side of the support stand 162 from the body surface 45. And a mounting portion 163.
  • an adhesive layer not shown
  • adhere to the round shape of the body surface 45 it is desirable to use the flexible member which can contact
  • the support tube mounting portion 163 includes an arm portion 164 fixed to the support base 162, a clamp portion 165 that is a gripping portion that directly or indirectly grips the camera support tube 13, and a clamp portion 165 that is screwed to the arm portion 164. And a screw tightening handle 166 to be fixed.
  • the camera support tube 13 is fixed by fixing the cannula 31 to which the camera support tube 13 is fixed to the support base 162 by the clamp portion 165 in a state where the fixing device 161 is fixed to the body surface 45 by the adhesive layer. It is fixed to the body surface 45 via the cannula 31.
  • the cannula 31 to which the support tube 13 is fixed is attached to the clamp portion 165, and the cannula 31 is tightened by the clamp portion 165 by turning the screw tightening handle 166.
  • the cannula 31 and the support tube 13 can be fixed in a desired state.
  • the in-vivo surveillance camera system 1 includes a cannula 31 shown in FIGS. 4 (a) to 4 (c) as a support tube fixing member and a fixing device 171 (dedicated device, fixing tool). And.
  • the camera support tube 13 fixed to the cannula 31 is fixed by using a dedicated fixing device 171 that can be directly fixed to the body surface 45 instead of the string-like member 38 as a fixing tool.
  • the camera support tube 13 is indirectly fixed to the body surface 45 via the cannula 31.
  • the fixing device 171 includes an arm part 172, a clamp part 173 that is a grip part for directly or indirectly gripping the camera support tube 13, and a connection part that fixes (connects) the clamp part 173 to the arm part 172. 174.
  • connection part 174 may be provided with a screw fastening handle (not shown).
  • an angle adjustment mechanism (not shown) that adjusts the angle formed by the arm portion 172 and the clamp portion 173 may be provided.
  • the clamp part 173 may hold
  • the clamp part 173 and the arm part 172 are connected by the connecting part 174 so that the angle formed by the clamp part 173 and the arm part 172 becomes an obtuse angle, for example.
  • the fixing device 171 shown in FIG. 13 is a contact end portion of the clamp portion 173 that is one end portion of the clamp tube 173 with the support tube 13 or the cannula 31, and the body wall 41 is tilted when the angle of the support tube 13 or the cannula 31 is inclined.
  • the camera support tube 13 or the cannula 31 can be fixed in a desired state.
  • the operator operates the camera support tube 13 to easily rotate the camera support tube 13 in the circumferential direction, push the camera support tube 13 into the body, or pull it up outside the body.
  • the rotation direction of the field of view of the camera unit 11 and the imaging zoom (subject distance) can be changed.
  • the viewing direction of the camera unit 11 can be changed. it can.
  • the case where the cannula 31 is held by the clamp part 173 is illustrated as an example.
  • the camera support tube 13 may be held by the clamp part 173.
  • the camera support tube 13 is not necessarily fixed to the cannula.
  • a general cannula can be used as the cannula.
  • the fixing device 161 is fixed to the body surface 45 by the adhesive layer has been described as an example, but the fixing device 161 shown in FIG.
  • the fixing device 161 shown in FIG. By adjusting the fixing angle of the clamp part 165 with respect to the arm part 164, the fixing device 161 can be fixed to the body surface 45 without using the adhesive layer.
  • the fixing device 161 shown in FIG. 12 it is generated by the elasticity of the body wall 41 when the angle of the support tube 13 or the cannula 31 is inclined at the contact end portion of the clamp portion 173 with the support tube 13 or the cannula 31. It is also possible to adopt a configuration in which the restoring force is received and the restoring force is used as a force (body wall pressing force) for pressing the body wall 41 at the contact end portion of the support stand 162 with the body wall 41.
  • ⁇ Modification> As a dedicated fixture used in each example described above, its shape and material are not particularly limited as long as it can be fixed to the body surface.
  • each fixing device is fixed to the body surface
  • the present embodiment is not limited to this.
  • the camera support tube 13 and the cannula 31 may be fixed with a dedicated fixing device installed on the operating table.
  • the arm has at least one joint portion, the arm can be bent at the joint portion, and the bending angle can be freely changed.
  • Use an arm or an articulated arm and instead of fixing the arm to the support table or body surface 45, fix the arm to the operating table itself or to a fixing device installed in the operating table or operating room, or
  • the support table provided with the arm may be fixed to an operating table or a fixing device installed in the operating room.
  • a string-like member 38 or a dedicated fixing device (for example, the fixing devices 141, 151, 161, and 171) is used as a fixing device that fixes the camera support tube 13 inserted into the cannula 31 to the outside of the body.
  • the method of fixing the fixture and the camera support tube 13 is not limited to this.
  • FIG. 14 is a perspective view showing an example of a schematic configuration of a main part of the in-body monitoring camera system 1 according to the present embodiment.
  • the in-body monitoring camera system 1 includes a cannula 31 and an adhesive tape 46 (fixing tool) shown in FIGS. 4 (a) to 4 (c).
  • the camera support tube 13 fixed to the cannula 31 is fixed by using an adhesive tape 46 that can be directly fixed to the body surface 45.
  • the camera support tube 13 is indirectly fixed to the body surface 45 via the cannula 31.
  • the pressure-sensitive adhesive tape 46 may be a pressure-sensitive adhesive tape that is generally used in surgery and has a pressure-sensitive adhesive layer at the contact portion with the body surface.
  • the adhesive tape 46 includes an adhesive layer (not shown) on one side (contact surface with the body surface 45), and can be directly fixed to the body surface 45 due to the adhesiveness of the adhesive layer.
  • the operator operates the camera support tube 13 to easily rotate the camera support tube 13 in the circumferential direction, push the camera support tube 13 into the body, or lift the camera support tube 13 to the outside of the body.
  • the rotation direction of the field of view of the camera unit 11 and the imaging zoom (subject distance) can be changed.
  • the cannula 31 and the camera support tube 13 with respect to the body surface 45 are changed by changing the fixing position of the adhesive tape 46 in the cannula 31 (in other words, the position where the pressing force of the adhesive tape 46 is applied to the cannula 31).
  • the fixed angle (tilt) can be changed.
  • the cannula 31 and the camera support tube 13 can be fixed at a desired angle, and the viewing direction of the camera unit 11 can be arbitrarily changed.
  • the in-body monitoring camera system 1 may further include a fixed height adjusting member (not shown) in addition to the cannula 31 and the adhesive tape 46 as the support tube fixing member.
  • the camera support tube 13 can be fixed in a desired state.
  • the case where the cannula 31 is fixed with the adhesive tape 46 by attaching the adhesive tape 46 to the cannula 31 is shown as an example.
  • the adhesive tape 46 is supported by the camera.
  • the camera support tube 13 may be directly fixed by the adhesive tape 46 by being attached to the tube 13.
  • the operator When fixing the camera support tube 13 directly with the adhesive tape 46, the operator operates the support tube 13 to adjust the position of the support tube 13, and after fixing the camera support tube 13 with the adhesive tape 46, When changing the position, the adhesive tape 46 is once peeled off, the operator operates the support tube 13 to adjust the position of the support tube 13 again, and then the support tube 13 is fixed again with the adhesive tape 46. .
  • the camera support tube 13 can be fixed in a desired state.
  • the camera support tube 13 when the camera support tube 13 is directly fixed with the adhesive tape 46, the movement of the camera support tube 13 is restricted by the adhesive tape 46, so the camera support tube 13 is not necessarily fixed to the cannula. It is not necessary to use a general cannula.
  • Embodiments 1 to 3 the case where the camera support tube 13 or the cannula 31 to which the camera support tube 13 is fixed is fixed to the outside of the body with a fixing tool has been described as an example.
  • a case where the camera support cable 13 is fixed to the camera support tube 13 and the camera support tube 13 is fixed by fixing the camera cable 12 outside the body with a fixture will be described as an example.
  • FIG. 15 is a figure which shows side by side the sectional view and the top view of the camera support tube 13 when the cable fastener 43 is provided at the end portion 13b outside the body of the camera support tube 13.
  • FIG. 15B is a diagram showing a cross-sectional view and a top view of the camera support tube 13 when the camera-side cable 12 is passed through the camera support tube 13, and
  • FIG. 15C is an in-vivo monitor according to the present embodiment.
  • 1 is a perspective view illustrating an example of a schematic configuration of a main part of a camera system 1.
  • FIG. 15B is a diagram showing a cross-sectional view and a top view of the camera support tube 13 when the camera-side cable 12 is passed through the camera support tube 13
  • FIG. 15C is an in-vivo monitor according to the present embodiment.
  • 1 is a perspective view illustrating an example of a schematic configuration of a main part of a camera system 1.
  • FIG. 1 is a perspective view illustrating an example of a schematic configuration of
  • the in-vivo monitoring camera system 1 includes a cannula 31, a cable fastener 43 (cable holder), and an adhesive tape 46 (fixing tool) shown in FIGS. 4 (a) to 4 (c). .
  • the camera side cable 12 is connected to the device side cable 16 via the camera side cable connector 12a.
  • the cable in order to lock the camera-side cable 12 to the camera support tube 13, as shown in FIGS. 15A and 15B, the cable is fastened to the end portion 13b of the camera support tube 13 outside the body.
  • a tool 43 is provided.
  • the camera support tube 13 used in this embodiment includes a head 113 and a leg 114, and the inner diameter of the head 113 is larger than the inner diameter of the leg 114. Except for this point, the configuration is the same as that of the camera support tube 13 according to the first embodiment.
  • the end portion 13a on the leg 114 side is introduced into the body through a body wall 41 such as an abdominal wall.
  • the camera support tube 13 becomes an end portion 13a on the leg 114 side and an end portion outside the body, which is an end portion on the side inserted into the body, with the camera support tube 13 inserted into the cannula 31.
  • the camera support tube 13 having the leg portion 114 that is longer in the axial direction than the leg portion 132 of the cannula 31 is used so that the end portion 13 b on the head 113 side is exposed from the cannula 31.
  • a camera support tube 13 having a size (thickness) is used.
  • the leg portion 114 of the camera support tube 13 has a cylindrical shape. Therefore, in this embodiment, the cannula 31 shown in FIGS. 4A to 4C is used as the cannula 31, but it is easy to combine with a general cannula which is a cylindrical tube. .
  • the end portion 31b (outside the body) on the head 113 side is more than the end portion 31a on the leg portion 114 side (inside the body) inserted into the body. It has a thick shape.
  • the cable fastener 43 is provided at the end 31b of the camera support tube 13 on the head 113 side.
  • the cable fastener 43 extends in the axial direction of the support tube 13 and decreases in width from the center of the camera support tube 13 toward the outside (side direction). It has a vertical groove 43a (the cross section is an outward taper). As the vertical groove 43a, instead of providing a taper-shaped vertical groove in the cable fastener 43, the cable fastener 43 is made of an elastic material, and the cable fastener 43 is provided with a cut as the vertical groove 43a.
  • the camera side cable 12 may be held by an urging force of an elastic material.
  • the camera side cable 12 is fixed to the camera support tube 13 by fixing the camera side cable 12 to the bottom portion (the narrow portion) of the vertical groove 43a of the cable fastener 43 as described above. Can be fixed.
  • the camera side cable 12 and the camera support tube 13 are fixed by the cable fastener 43 as shown in FIG.
  • the position of the camera support tube 13 can be fixed.
  • the cable fastener 43 may be formed integrally with the camera support tube 13 or may be formed as a separate body. That is, the camera side cable 12 may be fixed by inserting the cable fastener 43 into the camera support tube 13 as an individual component after passing the camera side cable 12 through the camera support tube 13.
  • the fixing angle (tilt) of the cannula 31 and the camera support tube 13 connected to the camera side cable 12 may be changed by sandwiching an object having a desired thickness, such as a support table 144 shown in FIG. That is, also in this embodiment, the support tube fixing member may further include a fixing height adjusting member (not shown).
  • the camera support tube 13 can be fixed in a desired state.
  • the camera side cable 12 can be temporarily fixed in the middle of the installation work of the camera unit 11 by fixing the camera side cable 12 to the camera support tube 13 using the cable fastener 43.
  • workability is improved.
  • a load is not applied to the connection portion between the camera unit and the camera side cable 12, and disconnection of the camera side cable can be prevented.
  • the camera support tube 13 can be fixed by the camera cable 12 by fixing the camera cable 12 to the camera support tube 13 and fixing the camera cable 12 outside the body. That is, by fixing the camera side cable 12 with the adhesive tape 46, the position and orientation of the camera support tube 13 connected to the camera side cable 12 are fixed. For this reason, the camera support tube 13 does not need to be fixed to the cannula similarly to the case where the camera support tube 13 is directly fixed to the outside of the body with a fixture.
  • the camera side cable 12 is fixed to the camera support tube 13 using the cable fastener 43, and the camera side cable 12 is fixed to the outside of the body with the adhesive tape 46.
  • the case of fixing 13 has been described as an example.
  • the present embodiment is not limited to this, and after fixing the camera side cable 12 to the camera support tube 13 using the cable fastener 43 as described above, the camera support tube 13 or the cannula 31 is attached.
  • the camera side cable 12 may be fixed outside the body with a fixing tool such as an adhesive tape.
  • any two or more of the camera side cable 12, the camera support tube 13, and the cannula 31 may be fixed.
  • the workability can be improved as described above, and the disconnection of the camera side cable can be prevented. The effect that it is possible can be obtained.
  • the adhesive tape 46 is used to fix the camera side cable 12, the camera support tube 13, or the cannula 31.
  • the fixing tool is not limited to this, and it goes without saying that the same fixing tool as that used for fixing the camera support tube 13 or cannula 31 in the first to third embodiments can be used.
  • the case where the cannula 31 and the camera support tube 13 are separated from each other has been described as an example.
  • a case where the camera support tube 13 is directly fixed to the body surface without using the cannula 31 by providing the camera support tube 13 with a cannula function will be described.
  • FIG. 16A is a perspective view of the camera support tube 13 according to the present embodiment
  • FIG. 16B is a cross-sectional view of the camera support tube 13 shown in FIG.
  • FIG. 16C is a perspective view when the camera support tube 13 according to the present embodiment is combined with an optolator
  • FIG. 16D is a view in which the camera support tube 13 according to the present embodiment is punctured into the body wall 41. It is sectional drawing which shows a state.
  • the camera support tube 13 used in this embodiment includes a head 113 and a leg 114, and the inner diameter of the head 113 is larger than the inner diameter of the leg 114. And having the same configuration as the camera support tube 13 according to the first embodiment except that the slit 223 is not provided.
  • the end 13a on the leg 114 side is directly introduced into the body through a body wall 41 such as an abdominal wall.
  • the operator operates the camera support tube 13 exposed to the outside of the body to push the camera support tube 13 to the inside of the body or pull it up to the outside of the body, thereby taking an imaging zoom (subject distance).
  • the length of the leg 114 in the axial direction is longer than the thickness of the body wall 41, and the leg 114 can be freely moved in the axial direction in the body.
  • a camera support tube 13 having a possible length is used.
  • the camera support tube 13 in which the leg portion 114 is a cylindrical tube so that the camera support tube 13 can be freely rotated at a desired height.
  • the present embodiment is not limited to this, and the camera support tube 13 may be provided so as to be movable in the axial direction and rotatable in the body.
  • the camera support tube 13 is preferably as small as possible from the viewpoint of minimally invasiveness.
  • the obturator 36 (a pointed bar) is inserted into the camera support tube 13
  • the distal end (sharp part) of the obturator 36 exposed from the end 13 a inside the body of the camera support tube 13 is punctured into a port 41 d opened in the body wall 41.
  • the camera support tube 13 is inserted into the body wall 41 d and the camera support tube 13 is contacted and fixed by the body wall 41.
  • the end 13b of the camera support tube 13 on the head 113 side goes out of the body, the camera support tube 13 does not come out of the body by the head 113 functioning as a stopper.
  • 17 (a) to 17 (h) are schematic diagrams showing the installation method of the imaging device 2 in the in-body monitoring camera system 1 according to the present embodiment in the order of steps.
  • an operator inserts forceps and an endoscope into the body wall 41 through ports 41a to 41c (A plurality of trocars 32 (hereinafter referred to as trocars 32a to 32c) are inserted into the ports 41a to 41c, respectively.
  • trocars 32a to 32c A plurality of trocars 32 (hereinafter referred to as trocars 32a to 32c) are inserted into the ports 41a to 41c, respectively.
  • the port 41d is opened at a position on the body wall 41 where the entire organ including the affected part can be looked over, and instead of the cannula 31, (a) to (The camera support tube 13 shown in d) is inserted into the port 41d.
  • the obturator 36 is punctured into the port 41d while the needle-shaped obturator 36 is passed through the camera support tube 13.
  • the camera support tube 13 is inserted into the body wall 41 and is fixed in contact with the body wall 41. Thereafter, the obturator 36 is removed from the camera support tube 13.
  • the operator sends gas into the body through the trocar and inflates the body cavity in advance to secure a space for inserting the instrument.
  • the surgeon inserts the endoscope 34 into the body cavity through the trocar 32c, and observes the inside of the body using the endoscope 34, while supporting the support portion with the forceps 33a. 22 is grasped and the imaging device 2 is inserted into the body cavity through the trocar 32b.
  • the operator operates the forceps 33 a to move the imaging device 2 to the vicinity of the camera support tube 13, and moves the forceps 33 b into the body cavity through the camera support tube 13. insert.
  • the operator pulls the forceps 33b out of the camera support tube 13 with the forceps 33b sandwiching the camera side cable 12, thereby leading the camera side cable 12 out of the body. To do. At this time, the support portion 22 in the camera unit 11 is held by the forceps 33a.
  • the operator inserts the forceps 33c into the body cavity through the trocar 32a, and the support tube joint portion 14 of the camera unit 11 and the opening of the camera support tube 13 are parallel to each other.
  • the support portions 22 on both side surfaces of the camera unit 11 are held by the two forceps 33a and 33c so as to be close to each other.
  • the operator inserts the body inner end portion 13 a of the camera support tube 13 into the support tube joint portion 14 of the camera unit 11 and screws them together.
  • the camera support tube 13 and the camera unit 11 are joined to each other by the support tube joining portion 14 in the body while the camera side cable 12 is passed through the camera support tube 13.
  • the surgeon raises the camera support tube 13 so that the body cavity can be imaged as widely as possible.
  • the height, direction and angle of the camera unit 11 in the body cavity are determined by operating the camera support tube 13, and the camera is supported by a fixture such as an adhesive tape 46 as shown in FIG.
  • the tube 13 is fixed. Thereby, even if an operator does not support the camera support tube 13, the state of the camera support tube 13 can be maintained.
  • the camera side cable 12 and the device side cable 16 are joined using the camera side cable connector 12a as in the first embodiment.
  • the camera unit 11 and the camera support tube 13 are joined with high mechanical strength, and the support force of the camera unit 11 is higher than in the past. Further, since the camera side cable 12 is led out of the body through the inside of the camera support tube 13, after the camera unit 11 and the camera support tube 13 are joined, a load is applied to the camera side cable 12, The side cable 12 is not exposed in the body and does not contact the body wall 41. This increases the reliability of electrical connection between the camera-side cable 12 and the circuit board 19 (waterproofness and antifouling property of the connection portion). For this reason, the highly reliable in-body monitoring camera system 1 can be realized.
  • the operator operates the camera support tube 13 to arbitrarily set the visual field direction of the camera unit 11, the rotational direction of the visual field, and the imaging zoom (subject distance). It can be fixed at a desired position. For this reason, a user-friendly surveillance camera system can be realized.
  • the present embodiment there is no need to pass the camera support tube 13 inside unlike the cannula 31 of the first to fourth embodiments, and the camera support tube 13 is directly inserted into the body wall 41 to Therefore, the diameter of the port 41d can be reduced. For this reason, it is excellent in terms of minimal invasiveness.
  • the process of passing the camera support tube 13 through the cannula 31 while the camera side cable 12 is passed through the camera support tube 13 is unnecessary. Work efficiency can be increased.
  • FIG. 17 (h) the case where the adhesive tape 46 is used as a fixture is shown as an example.
  • the fixture is not limited to this.
  • Embodiments 2 and 3 Needless to say, it may be the dedicated fixing device described in the above.
  • the case where the camera support tube 13 is fixed to the body surface while being inserted through the cannula 31 has been described as an example.
  • the cable fastener 43 is attached to the camera as an individual component. It may be inserted into the support tube 13. Accordingly, even when the camera support tube 13 is fixed using the camera side cable 12 as shown in the fourth embodiment, the camera support tube 13 is directly connected to the body surface without using the cannula 31. Can be fixed.
  • the camera support tube 13 can be attached to the body without using the cannula 31 by using a plurality of string-like members or a string-like member having a branch portion. It is possible to fix directly to the surface.
  • a camera support tube having a head 113 that functions as a stopper that prevents the camera support tube 13 from coming into the body. 13 is used to suspend the camera support tube 13 using a string-like member, while being locked to a trocar or the like as described in the first embodiment, the length of the support tube 13 in the body, the rotation direction, In addition, the support tube 13 can be directly fixed to the body surface while maintaining the inclination with respect to the body surface.
  • the string-like member is moved in the axial direction of the camera support tube 13. Even if a string-like member fixing part to be prevented (for example, a fixing part capable of fixing the string-like member by passing or tying the string-like member) is provided, the same effect can be obtained.
  • a string-like member fixing part to be prevented for example, a fixing part capable of fixing the string-like member by passing or tying the string-like member
  • the camera support tube 13 or the cannula 31 to which the camera support tube 13 is fixed is fixed outside the body with a fixing tool, or the camera side cable 12 is fixed to the camera support tube 13 and the camera
  • the air has a filling function that fills the space between the camera support tube 13 and the cannula 31, in other words, an air function that closes at least a part of the gap between the camera support tube 13 and the cannula 31.
  • a stopper support tube accessory
  • FIG. 18A is a cross-sectional view showing a joined state of the camera support tube 13 inserted into the cannula 31 and the camera unit 11, and an outer end portion of the camera support tube 13 and an outer end portion of the cannula 31.
  • FIG. 18B is a side view of the air plug 88
  • FIG. 18C is a top view of the air plug 88
  • FIG. d) is a perspective view of the air plug 88
  • FIG. 18 (e) is a cross-sectional view in the case where the size of the outer end of the cannula 31 is small.
  • tubular members such as a cannula or a trocar for installing the camera support tube 13 in the inner diameter size and the internal structure such as a valve.
  • gas inflating the abdominal wall may escape from the gap between the camera support tube 13 and the tubular member 31, which may cause inconvenience. is there.
  • FIG. 18A it is effective to provide an air plug 88 (support tube accessory) that reduces leakage between the tubular member 31 and the camera support tube 13.
  • 18 (a) to 18 (d) includes a hold portion 88a and a flange-like lid portion 88b, and the hold portion 88a is tapered (thinner toward the body surface) and has a truncated cone shape.
  • a support tube hole 88h penetrating the portion 88a is provided.
  • the air plug 88 made of an elastic member such as rubber is provided in the upper end portion of the cannula 31 (tubular member) so that the hold portion 88a spreads the valve 37 in a state where the camera support tube 13 is held in the support tube hole 88h.
  • the lid portion 88b is installed so as to cover the upper surface of the upper end portion of the cannula 31. As described above, the air plug 88 substantially closes the gap between the cannula 31 and the camera support tube 13.
  • the air plug 88 is required to reduce air leakage. This is also true for the following modifications of the air plug.
  • FIG. 18A shows an example in which the valve 37 is in the upper part of the cannula 31 and contacts the air plug 88.
  • the valve 37 is not in the upper part of the cannula 31.
  • the air plug 88 has an effect of reducing air leakage. This is also true for the following modifications of the air plug.
  • FIG. 18 (a) shows an example in which the upper part of the cannula 31 is installed in a relatively large size.
  • the air plug can also function as a support tube holder that holds the support tube and secures it to the cannula.
  • FIG. 19A is a cross-sectional view showing the joined state of the camera support tube 13 inserted into the cannula 31 and the camera unit 11, and the outer end of the camera support tube 13 and the outer end of the cannula 31.
  • FIG. 19B is a side view of the air plug
  • FIG. 19C is a top view of the air plug.
  • Fig. 19 (d) is a perspective view of the air plug
  • Fig. 19 (e) is a cross section showing another example in which a leaf spring-like clip for fixing the support tube is attached to the side surface of the air plug.
  • the air plug 88 (support tube accessory, support tube holder) includes a hold portion 88a, a flange-like lid portion 88b, and a peripheral surface of the lid portion 88b.
  • the holding portion 88a has a truncated cone shape that is tapered (thinner toward the body surface side) and includes a support tube hole 88h that penetrates the holding portion 88a.
  • An air plug 88 made of an elastic member such as rubber is fitted into the upper end portion of the cannula 31 so that the hold portion 88a spreads the valve 37 while holding the camera support tube 13 in the support tube hole 88h.
  • the lid portion 88b covers the upper surface of the upper end portion of the cannula 31, and the side wall portion 88d is installed so as to cover the outer surface of the upper end portion of the cannula 31.
  • the air plug 88 substantially closes the gap between the cannula 31 and the camera support tube 13 and fixes the camera support tube 13 and the cannula 31.
  • a clip 88D such as a leaf spring may be used instead of the side wall portion 88d, and the cannula 31 may be sandwiched by opening and closing the clip.
  • the air plug can also function as a cable holder that holds the camera side cable and fixes it to the support tube.
  • FIG. 20A is a cross-sectional view showing a joined state of the camera support tube 13 inserted into the cannula 31 and the camera unit 11, and an outer end portion of the camera support tube 13 and an outer end portion of the cannula 31.
  • FIG. 20B is a side view of the air plug
  • FIG. 20C is a top view of the air plug.
  • FIG. 20D is a perspective view of the air plug.
  • the air plug 88 (support pipe accessory, cable holder) includes a holding portion 88a and a bowl-shaped lid portion 88b, and the holding portion 88a is formed from the lid portion 88b.
  • the upper part 88ax located on the upper side has a cylindrical shape
  • the lower part 88ay located on the lower side (body surface side) than the lid part 88b is tapered (thinner toward the body surface side), and has a truncated cone shape.
  • a support tube hole 88h is provided, and a cable cutout 88f extending from the center of the upper portion 88ax to the periphery of the lid portion 88b is provided.
  • the air plug 88 formed of an elastic member such as rubber holds the camera side cable 12 passing through the cable cutout 88f at the center of the upper portion 88ax and holds the camera support tube 13 in the support tube hole 88h.
  • the lower portion 88ay is fitted into the upper end portion of the cannula 31 (tubular member) so as to push the valve 37, and the lid portion 88b is installed so as to cover the upper surface of the upper end portion of the cannula 31.
  • the air plug 88 substantially closes the gap between the cannula 31 and the camera support tube 13 and fixes the camera support tube 13 and the camera side cable 12.
  • FIG. 21 (a) and 21 (d) are longitudinal sectional views of a modification of the air plug, (b) and (c) are transverse sectional views of a broken line portion of (a), and (e) is a broken line portion of (d).
  • FIG. 21 As shown in FIG. 21, a clip 88X such as a leaf spring having a cable hole 88K is used for the upper portion 88ax and the lid portion 88b of the holding portion 88a, and the clip 88X is opened (FIG. 21 (b)) and closed (FIG. 21 (c). )), The camera side cable 12 in the cable hole 88K is sandwiched from the side surface.
  • the lower end of the hold portion 88a has a ring shape as shown in FIG.
  • the air plug can also function as a support tube holder that holds the support tube and is fixed to the cannula, and a cable holder that holds the camera side cable and is fixed to the support tube.
  • FIG. 22A is a cross-sectional view showing a joined state of the camera support tube 13 inserted into the cannula 31 and the camera unit 11, and an outer end portion of the camera support tube 13 and an outer end portion of the cannula 31.
  • FIG. 22B is a cross-sectional view showing a state in which an air plug having functions of a support tube holder and a cable holder is provided between them, FIG. 22B is a side view of the air plug, and FIG. FIG. 22D is a top view and a perspective view of the air plug. As shown in FIGS.
  • the air plug 88 (support tube accessory, support tube holder, cable holder) includes a hold portion 88a, a bowl-shaped lid portion 88b, and a peripheral edge of the lid portion 88b.
  • the holding portion 88a has a columnar upper portion 88ax located above the lid portion 88b and a lower portion 88ay located below (body surface side) the lid portion 88b. It has a truncated cone shape that tapers (thinner toward the body surface side), a support tube hole 88h is provided in the holding portion 88a, and reaches from the center of the upper portion 88ax to the lower end of the side wall portion 88d through the periphery of the lid portion 88b.
  • a cable cutout 88g is provided.
  • the air plug 88 made of an elastic member such as rubber holds the camera cable 12 passing through the cable cutout 88g at the center of the upper portion 88ax and holds the camera support tube 13 in the support tube hole 88h.
  • the lower portion 88ay is fitted into the upper end portion of the cannula 31 (tubular member) so as to spread the valve 37, the cover portion 88b covers the upper surface of the upper end portion of the cannula 31, and the side wall portion 88d is the outer surface of the upper end portion of the cannula 31. It is installed so as to cover.
  • the air plug 88 substantially closes the gap between the cannula 31 and the camera support tube 13 and fixes the camera support tube 13, the cannula 31, and the camera side cable 12.
  • FIG. 23A is a vertical cross-sectional view of a modified example of the air plug
  • FIGS. 23B and 23C are cross-sectional views taken along a broken line in FIG.
  • a clip 88X such as a leaf spring having a cable hole 88K shown in FIG. 21 is used for the upper part 88ax of the hold part 88a in FIG. 23, and the camera side cable 12 in the cable hole 88K is sandwiched from the side by opening and closing the clip 88X. It can also be.
  • By adopting such a clip structure it is possible to obtain a stable cable holding force, and it is possible to apply to various types of camera side cables having different sizes, thereby increasing versatility. Further, as shown in FIGS.
  • a clip 88Y such as a leaf spring having a support tube hole 88S is used for the upper portion 88ax and the lid portion 88b of the holding portion 88a, and the cable 88Y is opened and closed to open and close the cable. It is also possible to take a structure in which the camera support tube 13 in the hole 88S is sandwiched from the side surface. With such a clip structure, a stable holding force can be obtained.
  • a cable holder comprising the clip 88X of FIG. 21 is provided on the upper portion 88ax of the hold portion 88a, and the lower end of the hold portion 88a is formed in the ring shape shown in FIG. 21 (e), and as shown in FIG. A clip 88Y for fixing the camera support tube 13 can also be provided.
  • a double clip structure a stable holding force of the camera support tube and the camera side cable can be obtained, and various types of camera side cables, camera support tubes, and cannulas having different sizes can be obtained. (Tubular member), and versatility is enhanced.
  • the air plug 88 that can be used for fixing the camera support tube 13, the camera-side cable 12, and the cannula 31 has been described.
  • the present invention is not limited to these, and it goes without saying that the configurations described in the first to fourth embodiments may be used.
  • tubular members tubular devices
  • trocars that are also tubular members (tubular devices).
  • the in-body monitoring camera system (1) includes a support tube (camera support tube 13) in which one end 13a is introduced into the body, and a joint (support tube joint) joined to the support tube.
  • An in-vivo surveillance camera system (1) according to aspect 2 of the present invention includes a cannula (cannula 31) having a tubular structure into which the support tube can be inserted, and the support tube includes the cannula. You may fix with respect to the body surface in the state penetrated by the pipe
  • An in-vivo surveillance camera system (1) according to aspect 3 of the present invention is the above-described aspect 2, wherein the support tube is fixed to the cannula outside the body, and the fixture is configured to attach the cannula to the body surface.
  • the support tube may be fixed by fixing.
  • the in-vivo surveillance camera system (1) according to aspect 4 of the present invention is the above-described aspect 2 or 3, wherein the support tube is movable in the axial direction within a range allowed by the length of the support tube, and the shaft You may fix to the said cannula so that rotation is possible.
  • the support tube may be fixed to the sleeve by an urging force.
  • the in-body monitoring camera system (1) according to Aspect 6 of the present invention is the body monitoring camera system according to any one of Aspects 2 to 5, wherein the fixing strength between the support tube and the cannula is the joint strength between the support tube and the joint. Greater than.
  • the fixing strength between the support tube and the cannula is in the range of 5N to 50N.
  • the in-vivo monitoring camera system (1) according to aspect 8 of the present invention includes a cable holder (cable fastener 43, air plug 88) that holds the cable and fixes it to a support tube in any of the aspects 1 to 5. And the support tube or the cable is fixed outside the body.
  • the in-vivo surveillance camera system (1) according to aspect 9 of the present invention includes a cable holder that holds the cable and fixes it to a support tube in any one of the aspects 1 to 8, and the cable holding strength of the cable holder is as follows. The joint strength between the support tube and the joint is greater.
  • the bonding strength is in a range of 3N to 6N.
  • the fixing strength to the body surface by the fixing tool is larger than the cable holding strength.
  • the in-vivo surveillance camera system (1) includes a cable holder (cable fastener 43, air plug 88) that holds the cable and fixes it to a support tube in any of the aspects 1 to 11.
  • the cable holding strength of the cable holder is in the range of 5N to 50N.
  • the cable holder has a function of closing at least a part of the gap between the support tube and the cannula. Also good.
  • the in-body monitoring camera system (1) according to aspect 13 of the present invention is the body surveillance camera system (1) according to any one of the aspects 2 to 7, wherein the cable holder holding the cable and fixing the cable to the support tube or the support tube
  • the cable holder or the support tube holder has a function of closing at least a part of a gap between the support tube and the cannula.
  • the support tube accessory (88) of the internal monitoring camera system (1) according to aspect 14 of the present invention is the support tube accessory of the internal monitoring camera system according to any one of aspects 2 to 7, and It has at least two functions among a function of fixing to the support tube, a function of fixing the support tube to the cannula, and a function of closing at least a part of a gap between the support tube and the cannula.
  • the fixture (adhesive tape 46) of the in-vivo monitoring camera system (1) includes a flexible adhesive surface to the body surface.
  • a method for setting an in-vivo monitoring camera system includes a cable (camera side cable 12) connected to an external control system (3) including at least a display device (display 18), and the cable.
  • the present invention can also be expressed as follows.
  • An in-vivo surveillance camera system (1) includes a support tube (camera support tube 13) in which one end 13a is introduced into the body and a joint (support tube joint) joined to the support tube.
  • a control system (3) that is outside the body and connected to the cable and includes at least a display device (display 18), wherein the support tube has a field-of-view direction and a field-of-view rotation direction of the imaging unit outside the body.
  • the imaging zoom (subject distance) can be arbitrarily changed within a range allowed by the length of the support tube, and can be fixed directly or indirectly to the body surface.
  • a cannula 31 for passing the support tube therethrough may be used.
  • the support tube can be fixed to the body surface by being locked to a trocar 32 around the support tube with a string-like fixture (string-like member 38).
  • the support tube can be fixed to the body surface by using a dedicated instrument (for example, the fixing instruments 141 and 161) having adhesiveness at the contact portion with the body surface.
  • a dedicated instrument for example, the fixing instruments 141 and 161 having adhesiveness at the contact portion with the body surface.
  • the support tube is formed on a body surface by using a dedicated instrument (for example, a fixing instrument 151) that is fixed to the body surface by sandwiching the skin at a contact portion with the body surface. Can be fixed.
  • a dedicated instrument for example, a fixing instrument 151
  • the support tube receives a restoring force 49 generated by the elasticity of the body wall when the support tube is inserted into the body wall and tilted, and contacts the body surface. It can be fixed to the body surface by using a dedicated device (for example, fixing devices 161 and 171) that is used as a force (for example, body wall pressing force 50) for pressing the body wall at the portion.
  • a dedicated device for example, fixing devices 161 and 171
  • a force for example, body wall pressing force 50
  • the support tube can be fixed to the body surface by using a dedicated instrument having one end fixed to the operating table.
  • the support tube can be fixed to the body surface by using a tape (adhesive tape 46).
  • the support tube can lock the cable and can be fixed to the body surface by fixing the cable to the body surface.
  • the support tube is fixed to the cannula and the outside of the body, and can be fixed to the body surface by fixing the cannula to the body surface.
  • the present invention is not limited to the above-described embodiments, and those obtained by appropriately modifying the above-described embodiments based on common general technical knowledge or combinations thereof are also included in the embodiments of the present invention.
  • This imaging apparatus is suitable for endoscopic surgery, for example.

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Abstract

La présente invention concerne un système de caméra (1) de surveillance de l'intérieur d'un corps doté de : un tube de support de caméra (13), dont une partie d'extrémité (13a) est insérée dans le corps ; une unité de caméra (11) qui se joint au tube de support de caméra à l'intérieur du corps ; un câble côté caméra (12) qui est raccordé à l'unité caméra et qui est tiré à l'extérieur du corps en passant par le tube de support de caméra ; un système de commande (3) qui contient au moins un affichage (18) ; et un élément de type cordon (38) qui fixe directement ou indirectement le tube de support de caméra à la surface du corps.
PCT/JP2014/081790 2013-11-29 2014-12-01 Système de caméra de surveillance de l'intérieur d'un corps, accessoire pour tube de support de système de caméra de surveillance de l'intérieur d'un corps, outil de fixation pour système de caméra de surveillance de l'intérieur d'un corps, et procédé d'installation de système de caméra de surveillance de l'intérieur d'un corps WO2015080293A1 (fr)

Priority Applications (3)

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US15/031,816 US9981112B2 (en) 2013-11-29 2014-12-01 Camera system for monitoring inside of body, accessory for support tube of camera system for monitoring inside of body, fixing tool for camera system for monitoring inside of body, and method for installing camera system for monitoring inside of body
JP2015551037A JP5985764B2 (ja) 2013-11-29 2014-12-01 体内監視カメラシステム、体内監視カメラシステムの支持管用付属具、及び体内監視カメラシステムの固定具
US15/955,728 US20180256854A1 (en) 2013-11-29 2018-04-18 In-body image capturing device, accessory for support tube of in-body image capturing device, and fixing tool for in-body image capturing device

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JP2013248565 2013-11-29
JP2013-248565 2013-11-29

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US15/031,816 A-371-Of-International US9981112B2 (en) 2013-11-29 2014-12-01 Camera system for monitoring inside of body, accessory for support tube of camera system for monitoring inside of body, fixing tool for camera system for monitoring inside of body, and method for installing camera system for monitoring inside of body
US15/955,728 Continuation US20180256854A1 (en) 2013-11-29 2018-04-18 In-body image capturing device, accessory for support tube of in-body image capturing device, and fixing tool for in-body image capturing device

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JP6392931B2 (ja) 2018-09-19
US20160263350A1 (en) 2016-09-15
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JP6144806B2 (ja) 2017-06-07
JP2016190077A (ja) 2016-11-10

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